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Year : 1992  |  Volume : 58  |  Issue : 2  |  Page : 133-134

Genital lichen sclerosis et atrophicus

Correspondence Address:
S K Malhotra

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A boy of 17 years presented with bluish white atrophic macules on shaft of penis and on prepuce. Histopathological examination confirmed the diagnosis of lichen sclerosis et atrophicus.

Keywords: Lichen sclerosis et atrophicus, Shaft of Penis

How to cite this article:
Malhotra S K, Bharti R, Sarin R C. Genital lichen sclerosis et atrophicus. Indian J Dermatol Venereol Leprol 1992;58:133-4

How to cite this URL:
Malhotra S K, Bharti R, Sarin R C. Genital lichen sclerosis et atrophicus. Indian J Dermatol Venereol Leprol [serial online] 1992 [cited 2020 Oct 22];58:133-4. Available from:

  Introduction Top

In lichen sclerosis et atrophicus (LSA) genital sites affected in males are glans, under surface of prepuce and uretheral meatus. The shaft of penis is rarely involved. [1] Montgomary and Hill have reported LSA lesions on shaft of penis only in one of their 80 male cases with genital lesions. [2] Wallaca had only two such cases among 395 LSA patients. [3] The case under report had LSA lesions on shaft of penis rather at a younger age.

  Case Report Top

S Kamale, 17 years in age, reported with the complaints of presence of non­pruritic white spots on the skin of the shaft of penis and narrowing of preputial opening with inability to retract.

Local examination revealed bluish white atrophic macules, 2 to 5 mm in diameter involving the skin of the shaft of penis and the prepuce near its opening [Figure - 1]. Prepuce could not be retracted, skin of shaft of penis could be moved over the underlying erectile tissue. The portion of glans visible and the external urethral meatus did not appear to be involved. LSA lesions were not present on other parts of body.

Biopsy of the lesions revealed characteristic findings of LSA [Figure - 2] in the form of hyperkeratosis, thin and atrophic stratum malpighii, hydropic degeneration of basal layer, absent rete ridges, oedema and hyalinization of collagen below the epidermis. Inflammatory infiltrate was seen below the epidermis and in the lower dermis it was almost in a band like pattern.

  Comments Top

Case under reference had lesions on shaft of penis and prepuce. The later resembled balanitis xerotica obliterans. We preferred to retain the term LSA since external urethral meatus was not involved. [4]

  References Top

1.Ive FA, Wilkinson DS. Diseases of the umblical, perianal and genital regions. In : Textbook of Dermatology (Rook A, wilkinson D S, Ebling FJG, et al, eds), 4th edn. Bombay : Oxford University Press, 1987; 2190.  Back to cited text no. 1    
2.Montgomery E, Hill WR. Quoted by Laymon CW. In Lichen Sclerosis et atrophicus and related disorders. AMA Arch Derm Syph 1951; 64 : 620-7.  Back to cited text no. 2    
3.Wallaca H J, quoted by Rowell N R. Lupus Erythematosus, Scleroderma and Dermato­myositis, 'The Collagen' or' Connective tissue' diseasas. In : Textbook of Dermatology (Rook A, Wilkinson D S, Ebling F J G, et al, eds), 4th edn. Bombay : Oxford University press, 1987; 1281-392.  Back to cited text no. 3    
4.Pasieczmy T A H. The treatment of BXO: testosterone propionate oint., Acta Derm Venerelogica (Stock) 1977; 57 : 275-7.  Back to cited text no. 4    


[Figure - 1], [Figure - 2]


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